X-ray assay calculus at HCA FLORIDA GULF COAST HOSPITAL
449 WEST 23RD STREET, PANAMA CITY, FL · HCA Florida Healthcare · · NPI 1699721589
$9.90
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$9.90
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1.52 with Simply vs $72.50 with Careworks (Rockport Community) — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Simply | MGMCR | $1.52 | ↓ -85% |
| Molina Healthcare | MGMCR | $1.88 | ↓ -81% |
| AvMed | HMOFI | $2.38 | ↓ -76% |
| United | OptionsPPO | $2.41 | ↓ -76% |
| Sunshine State Health Plan | QHP | $2.52 | ↓ -75% |
| AvMed | ASOEO | $2.77 | ↓ -72% |
| Aetna | ASA | $2.97 | ↓ -70% |
| Molina Healthcare | HIX | $3.17 | ↓ -68% |
| Humana | HMO | $3.76 | ↓ -62% |
| Humana | PPO | $3.76 | ↓ -62% |
| United | GlobalBenefitPlan | $4.46 | ↓ -55% |
| Prime Health Sheriff | WORKERSCOMP | $4.95 | ↓ -50% |
| Prime Health Sheriff | COMM | $4.95 | ↓ -50% |
| AvMed | HIXOON | $4.95 | ↓ -50% |
| Plotkin Health | COMM | $4.95 | ↓ -50% |
| Multiplan | Primary | $7.72 | ↓ -22% |
| Multiplan | Complementary | $8.41 | ↓ -15% |
| PPO Next | PPO | $8.41 | ↓ -15% |
| PPO Next | COMM | $8.41 | ↓ -15% |
| NovaNet | COMM | $8.91 | ↓ -10% |
| Humana | TRICARE | $11.35 | ↑ +15% |
| TriWest Healthcare Alliance | FED | $12.27 | ↑ +24% |
| United | VACCN | $12.52 | ↑ +26% |
| United | AllPayerAppendix | $12.52 | ↑ +26% |
| NDMS Definitive Care | MGMCR | $12.52 | ↑ +26% |
| Veterans Evaluation Services | MCR | $12.52 | ↑ +26% |
| Hospice Big Bend | FED | $12.52 | ↑ +26% |
| Humana | MGMCRHMO | $12.52 | ↑ +26% |
| Wellmed | MGMCR | $12.52 | ↑ +26% |
| Humana | MGMCRPPO | $12.52 | ↑ +26% |
| BCBS | MCRHMO | $12.77 | ↑ +29% |
| BCBS | MCRPPO | $12.77 | ↑ +29% |
| United | MCR | $12.77 | ↑ +29% |
| Aetna | MCR | $12.83 | ↑ +30% |
| Sunshine State | MCR | $13.15 | ↑ +33% |
| WellCare | MCR | $13.15 | ↑ +33% |
| American Health Plan | MCR | $13.27 | ↑ +34% |
| Healthspring of Florida | MGMGR | $13.40 | ↑ +35% |
| Florida Complete Care | MCR | $13.40 | ↑ +35% |
| Align Senior Care | MGMCR | $13.40 | ↑ +35% |
| Gold Kidney of Florida | MCR | $13.65 | ↑ +38% |
| Clear Spring Health | MCR | $13.77 | ↑ +39% |
| Centurion | GVT | $13.77 | ↑ +39% |
| Ultimate Health Plan | MCR | $14.40 | ↑ +45% |
| Longevity Health Plan | MCR | $15.02 | ↑ +52% |
| Oscar | HIX | $16.90 | ↑ +71% |
| Simply Healthcare | HIX | $19.53 | ↑ +97% |
| CorVel Corporation | WORKERSCOMP | $68.88 | ↑ +596% |
| Prime Health | WC | $70.33 | ↑ +610% |
| Careworks (Rockport Community) | WORKERSCOMP | $72.50 | ↑ +632% |
| Aetna | PPO | not published by hospital | — |
| Aetna | HMO | not published by hospital | — |
| Aetna | QHP | not published by hospital | — |
Visitor-reported prices
Comments
X-ray assay calculus at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City | not published | $12.52 – $47.16 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $12.00 | $12.52 – $47.16 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $10.08 | $12.52 – $47.16 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $11.89 – $20.90 |
| Adventhealth Lake Wales | Lake Wales | not published | $12.52 – $27.79 |
| Adventhealth Palm Coast Parkway | Palm Coast | not published | $11.89 – $26.74 |
| Adventhealth Tampa | Tampa | not published | $12.52 – $27.79 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | not published | $11.89 – $27.35 |